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中国全科医学

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家庭医生团队多专业协作评价指标体系构建

郑彩云，吴霜儿，俞淦泉，王欣*   

  1. 510080 广东省广州市，中山大学公共卫生学院卫生管理学系
  • 通讯作者: 王欣，副教授；E-mail：wangxin25@mail.sysu.edu.cn
  • 基金资助:
    国家自然科学基金资助项目（71804202）

Construction of Evaluation Index System Inter-professional Collaboration in Family Doctor Team

ZHENG Caiyun，WU Shuanger，YU Ganquan，WANG Xin*   

  1. Department of Health Management，School of Public Health，Sun Yat-sen University，Guangdong 510080，China
  • Contact: WANG Xin，Associate professor；E-mail：wangxin25@mail.sysu.edu.cn

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摘要： 背景　基于家庭医生团队实施有效的多专业协作是满足居民日益复杂的健康需求、提供高质量整合型卫生服务的关键，但目前缺少针对团队多专业协作的科学可行评价工具。目的　在协作四维模型（D'Amour 模型）基础上建立一套家庭医生团队多专业协作评价指标体系，为家庭医生团队及其多专业协作的持续发展提供实证依据。方法　通过文献分析法、政策归纳法、半结构化访谈初步建立指标体系；于 2023 年 4—6 月，采用改良德尔菲法对 24名专家进行两轮函询，根据函询结果确定评价指标体系；使用层次分析法 - 熵权法综合赋权法确定指标权重。结果　两轮函询问卷的有效回收率均为 100.00%（24/24），专家权威系数分别为 0.874、0.885，肯德尔协调系数分别为 0.157（χ2 =166.005，P<0.05）、0.146（χ2 =151.145，P<0.05）。最终构建了包含 5 个一级指标、11 个二级指标、27 个三级指标及其权重的家庭医生团队多专业协作评价指标体系。一级指标“共同目标与愿景”“内在化”“治理”“规范化”“激励”的权重分别为 0.126 7、0.190 4、0.291 3、0.118 0、0.275 4。结论　构建的家庭医生团队多专业协作评价指标体系具有较强的科学性和可操作性，对提升团队多专业协作有一定的理论和实践意义。

关键词: 家庭医学, 家庭医生团队, 多专业协作, 改良德尔菲法, 层次分析法, 熵权法, 综合权重法, 指标体系

Abstract: Background　Implementing effective inter-professional collaboration based on family doctor teams is key to meeting the increasingly complex health demands of residents and providing high-quality integrated care. However，there is currently a lack of tools for assessing inter-professional collaboration in Chinese family doctor team. Objective　To develop a D 'Amour model-based system for assessing inter-professional collaboration in family doctor team，aiming at development of interprofessional collaboration of family doctor team. Methods　The first draft of index system was established by literature analysis， policy induction and semi-structured interview. From April to June 2023，a two-round expert consultation with 24 experts was conducted using the modified Delphi method，and the evaluation index system was determined according to the results of expert consultation. The weights of the index were determined by analytic hierarchy process and entropy weight method. Results　The effective questionnaire recovery rate of the two-round expert consultation was 100.0%（24/24），and the authority coefficients of experts were 0.874 and 0.885，respectively，and the Kendall coordination coefficients were 0.157（χ2 =166.005，P<0.05） and 0.146（χ2 =151.145，P<0.05），respectively. An evaluation index system for inter-professional collaboration in family doctor team was constructed，which included 5 first-level indicators，11 second-level indicators，27 third-level indicators and their weights，and the weights of the first-level indicators “shared goals and vision” “internalization” “governance” “for malization”and“incentive”are 0.126 7，0.190 4，0.291 3，0.118 0 and 0.275 4，respectively. Conclusion　The evaluation index system for inter-professional collaboration in family doctor team is scientific and feasible，with theoretical and practical significance for promoting inter-professional collaboration in family doctor teams.

Key words: Family practice, Family doctor team, Iinter-professional collaboration, Modified delphi method, Analytic hierarchy process, Entropy weight method, Combined weight method, Indicator system

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